MR. JESSE ELIJAH ROBERTS (NPI# 1164910535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164910535 |
| Entity Type | Individual |
| Full Name | MR. JESSE ELIJAH ROBERTS |
| Credential | MA, ED.S, NCC, LPCA |
| Practice Address |
1801 E 5th Street, #208 Charlotte NC 28204 |
| Mailing Address |
1801 E 5th St Ste 208 Charlotte NC 28204-3400 |
| Practice Telephone | 8284475180 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A11730 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811011570 | Jesse Andrew Roberts | Internal Medicine | 2900 Clay Edwards Dr, Northcare Hospice, Kansas City, MO 64116-3221 | 2007-03-19 |
| 1326197930 | Jesse Henton Roberts IIi | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2007-01-10 |
| 1326038456 | Jesse David Roberts Jr. | Anesthesiology | 55 Fruit Street Fnd 442, Massachusetts General Hospital New Born Service, Boston, MA 02114-2696 | 2005-10-28 |
| 1396375135 | Jesse Randolph Roberts | Day Training/Habilitation Specialist | 16 W Long St, Columbus, OH 43215-2815 | 2020-01-21 |
| 1568863991 | Jesse C Roberts | Dentist | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2014-09-04 |
| 1093133944 | Jesse Lorin Roberts | Orthopaedic Surgery | 1959 Ne Pacific St, Seattle, WA 98195-2570 | 2014-03-28 |
| 1497050553 | Jesse Leon Roberts | Chiropractor | 1701 S Florissant Rd, Saint Louis, MO 63121-1131 | 2011-01-21 |
| 1558529776 | Jesse Q Roberts | Physician Assistant | 49 Spring St, 1st Floor, Scarborough, ME 04074-8926 | 2008-05-23 |
| 1114076718 | Jesse Henton Roberts Jr. | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2007-01-10 |
| Street Address |
1801 E 5TH STREET, #208 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| 1073934063 | Laura Reevey | Nurse Practitioner | 400 Clarice Ave, Suite 100, Charlotte, NC 28204 | 2013-12-18 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1386243046 | Choice Counseling & Consulting, Pllc | Counselor | 9716 Rea Rd # B1167, Charlotte, NC 28277-6789 | 2020-10-22 |
| 1831797448 | Kiara Grier | Counselor | 6724 Lynmont Dr, Charlotte, NC 28212-5817 | 2020-10-15 |
| 1285231530 | Aliyah Shea Grinage | Counselor | 8815 University East Dr Ste 100, Charlotte, NC 28213-4106 | 2020-10-08 |
| 1386251213 | Silver Lining Counseling | Counselor | 3315 Springbank Ln Ste 302, Charlotte, NC 28226-3198 | 2020-09-24 |
| 1851907364 | Clarissa Jackson | Counselor | 10140 Hawkeye Dr, Charlotte, NC 28273-4536 | 2020-09-20 |
| 1437764529 | Kristyn Bly | Counselor | 6929 Weirton Pl, Charlotte, NC 28226-9502 | 2020-09-15 |
| 1740892546 | Marketa Winfield | Counselor | 7405 Hamilton Bridge Rd, Charlotte, NC 28278-6734 | 2020-08-21 |
| 1336751874 | Charidi Lyn Jamison | Counselor | 2730 E Wt Harris Blvd Ste 201, Charlotte, NC 28213-4063 | 2020-08-17 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.